Abstract

Percutaneus coronary artery intervention (PCI) is increasing in patients with cardiovascular disease. In this intervention some instruments enter into the vessels and it makes PCI as a risk factor for bacteremia and sepsis. bacteremia is rare, but is able to increase mortality rate. This study was designed to determine the prevalence of bacteremia after PCI in patients who were refereed to Afshar Hospital in Yazd, Iran. In an analytic cross-sectional study which was done among 300 patients refereed to Afshar Hospital in Yazd, Iran from April 2012 August 2012.exclusion criteria was history of infection and antibiotic consumption. Demographic data, number of vessels, type of stent, PCI duration and number of skin puncture were mentioned for everyone. For each one blood culture was done before procedure, immediately after procedure and eight hours after that. Data were analyzed by descriptive and analytic tests. 9 men and 5 women had positive blood culture in this study and fisher exact test showed that this difference is not significant. Comparing patients according to the type of PCI; emergent or elective, showed no significant difference. The average age was considerably significant between positive and negative blood culture groups (P-value=0.03). 2.8 of patients with one skin puncture had positive blood culture while it was positive in 15.95 of patients with two or more than two punctures and it was significant (P-value=0.002). There was no significant difference according to factors including type of stents, PCI duration and catheter type(used or new). There was significant difference between number of vessels (P-Value=0.04) and diabetes mellitus with septicemia (P-Value=0.04). According to our data, bacteremia after PCI was a rare side effect and it depended on number of skin punctures which was confirmed by similar studies. © IDOSI Publications, 2013.